Variation in small bowel length: Factor in achieving total enteroscopy?

@article{Raines2015VariationIS,
  title={Variation in small bowel length: Factor in achieving total enteroscopy?},
  author={Daniel L. Raines and Adrienne Arbour and Hilary W. Thompson and Jazmine Figueroa-Bodine and Saju Joseph},
  journal={Digestive Endoscopy},
  year={2015},
  volume={27}
}
BACKGROUND AND AIM Estimation of small bowel length is of interest following the recent development of device-assisted enteroscopy. [] Key MethodMETHODS Measurement of ileojejunal length on 91 surgical patients undergoing laparotomy for routine indications. Demographic data were collected for each subject, including height, weight and BMI. RESULTS Small bowel length was found to vary widely between individuals (average 998.52 cm, range 630-1510 cm).
Variation in Small Bowel Length and Its Influence on the Outcomes of Sleeve Gastrectomy
TLDR
Investigation of variations in small bowel length and their clinical significance in patients undergoing laparoscopic sleeve gastrectomy found it has no significant role in weight loss or the resolution of cardiovascular risk factors after LSG.
Influence of repeated measurements on small bowel length
TLDR
During surgery, repeated length measurements caused contractions in the small bowel and this resulted to a significant decrease in the SBL, which should be keep in mind to prevent mismeasurements.
Small Bowel Limb Lengths and Roux-en-Y Gastric Bypass: a Systematic Review
TLDR
A systematic review concludes that a range of 100–200 cm for combined length of biliopancreatic or alimentary limb gives optimum results with Roux-en-Y gastric bypass in most patients.
Correlation Between the Total Small Bowel Length and Anthropometric Measures in Living Humans: Cross-Sectional Study
TLDR
An average TSBL is reported greater than what is reported in the literature from living humans with a greater range of variation and there is no clinically important correlation between the TSBL and the weight and height of the individual participants in this series.
In Vivo Small Bowel Length is Longer than in Formalin-Fixed Cadavers
TLDR
This study remains the first to compare detailed physical measurements to SBL and found that in vivo SBL was significantly longer than formalin-fixed cadaver SBL.
OAS_A_355822 17..23
TLDR
The study showed that patients with primary small bowel volvulus had statistically significantly longer small bowel length and small bowel mesenteric length than controls, but small bowel Mesenteric root was found not to be statistically significantly different between cases and controls.
Repeated stretched or non-stretched small bowel length measurements in healthy individuals.
TLDR
The stretching technique can reduce the error rate in repeatedSmall bowel measurements by comparing repeated small bowel length measurements with and without stretching in healthy individuals.
Variability of Length of Small Intestine in Indian Population and Its Correlation with Type 2 Diabetes Mellitus and Obesity
TLDR
Small intestinal length had significant but a weak positive correlation in patients who had HbA1c ≥‬6.5% and RBS levels ≥ 200 mg/dL, and BMI did not show significant correlation with length of small intestine.
One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes
TLDR
OAGB with tailored bypass of the proximal one-third of bowel was associated with greater weight loss and comparable improvement in comorbidities as compared to fixed bypass ofThe proximal two meters of intestine.
...
...

References

SHOWING 1-10 OF 36 REFERENCES
Normal small-bowel measurements by enteroclysis.
TLDR
Small-bowel length, number of folds in the jejunum and ileum, diameter of the loops, and thickness of the bowel wall were measured on double-contrast small-Bowel enema radiographs from 182 patients with no jejunal or ileal morphologic abnormalities.
Reliability of radiographic measurement of small intestinal length
TLDR
Evaluated the accuracy of small bowel length measured by barium follow‐through (BaFT) examination to find out if it is useful in conditions where further resection of small intestine is contemplated.
Evaluation of small bowel measurement in alive patients
TLDR
A measurement of the length of small bowel more accurate than the estimation given by the classical anatomic books is reported.
Small bowel length in hyperlipidemia and massive obesity.
TLDR
Small bowel length was not correlated with the degree of obesity expressed as the percentage of ideal weight, and the only statistically significant correlation determined was between sex and bowel length in the obese subjects, where a greater length of small intestine was found in the males.
Small bowel length measured by radiography
TLDR
The jejunoileal length was measured on double-contrast small bowel enema radiographs, obtained from patients who had been investigated for abdominal pain, and ranged from 230 to 370 cm, with an average length of 280 cm.
Small bowel length in inflammatory bowel disease
TLDR
A determination of intestinal length by a standardised and simple technique is of interest for surgical decision making in primary and recurrent disease and in the evaluation and management of postoperative malabsorption in patients with inflammatory bowel disease.
Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences.
TLDR
SBE is not only easy to perform, due to the single balloon, but it can also safely examine the deep small intestine, therefore, SBE may be a useful diagnostic and therapeutic tool in addition to DBE for investigating suspected small bowel disease.
Small-intestine length in infants and children.
  • J. Siebert
  • Medicine
    American journal of diseases of children
  • 1980
TLDR
When patients were placed into three general diagnostic categories (congenital heart disease, abdominal lesions, and miscellaneous) no significant differences were found, however, several striking instances of abnormally long or short small intestines were encountered.
Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study.
TLDR
This prospective analysis shows that PPE is safe and has a high diagnostic and therapeutic yield in patients with suspected or known small-bowel disease.
Prospective Multicenter Trial Comparing Push-and-Pull Enteroscopy With the Single- and Double-Balloon Techniques in Patients With Small-Bowel Disorders
TLDR
The complete enteroscopy rate was three times higher with DBE than with SBE, accompanied by a higher diagnostic yield, and DBE must continue to be regarded as the nonsurgical gold standard procedure for deep small-bowel endoscopy.
...
...